A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Reflex tachycardia
2. Hyperkalemia
3. Dizziness
4. Hypertension
5. Hypotension
Correct Answer: 1, 3
Rationale 1: Dilation of veins can reduce blood pressure and cause patients to become dizzy when moving to a standing position.
Rationale 2: Hyperkalemia is incorrect because nitroglycerin does not cause hyperkalemia.
Rationale 3: Dilation of veins can reduce blood pressure and cause patients to become dizzy when moving to a standing position.
Rationale 4: Hypertension is incorrect because nitroglycerin can cause hypotension.
Rationale 5: Nitroglycerin causes hypotension.
Global Rationale: Dilation of veins can reduce blood pressure and cause patients to become dizzy when moving to a standing position. This fall in blood pressure can result in reflex tachycardia, causing patients to feel as if their heart is having palpitations or skipping a beat. Hyperkalemia is incorrect because nitroglycerin does not cause hyperkalemia. Hypertension is incorrect because nitroglycerin can cause hypotension.
You might also like to view...
The patient is being supported with mechanical ventilation and is requiring very high levels of inspired oxygen to maintain his arterial blood gases at acceptable levels
In an attempt to reduce the amount of oxygen required, positive end-expiratory pressure (PEEP) at 5 cm H2O is added to the ventilator settings. What is the most important effect of PEEP? A) Increases number of open alveoli B) Increases patient comfort C) Assists in ventilator weaning D) Compensates for tubing resistance
A principle that should guide the nurse in determining the extent of silence to allow during client
interview sessions is that a. the nurse is responsible for breaking silences. b. clients withdraw if silences are prolonged. c. silence provides meaningful moments for reflection. d. silence helps clients know that what they said was understood.
Which of the following factors affect(s) the delivery of healthcare in Canada? Choose all that apply
1) Aging population 2) Sparse population over large area 3) Abundance of nurses 4) Oversupply of physician specialists
The nurse is creating a care plan for an older adult client who is regularly physically active. Which topic should the nurse include?
a. The older adult can rely on their level of thirst to know when they need to replace fluids. b. The older adult does not require as much fluid for rehydration when compared to a younger athlete. c. The older adult may need to eat more than the younger athlete during training to help restore depleted energy stores. d. The older adult has typically lost some muscle as a result of age and will have a lower basal metabolic rate than the younger athlete.